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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Case Study of the Career Epidemiology Field Officer Assignments in Three State Health Department
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
none
Supervisor Interview
CEFO ATTACHMENT B- Supervisor Instrument_11 21 13.docx
No
No
Printable Only
Form and Instruction
none
Partner Interview
CEFO ATTACHMENT C- Partner Instrument_11 21 13.docx
No
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
18
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
18
0
0
0
0
0
Annual IC Time Burden (Hours)
15
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
D - Email Notification
CEFO ATTACHMENT D-Email Notification_11 21 13.docx
11/21/2013
A - Map of Field Assignments
CEFO ATTACHMENT A- Field Assignments Map 11 18 13.pdf
11/20/2013
E - Email Reminder
CEFO ATTACHMENT E- Email Reminder 11 21 13.docx
11/21/2013
Supporting Statement A
CEFO Supporting Statement A_ 11 21 13.docx
11/21/2013
Supporting Statement B
CEFO Supporting Statement B_11 21 13.docx
11/21/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.